Individual provider Active NPI

Nirav Bharatbhai Patel, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Holyoke, MA
National Provider Identifier
1649602681
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN1857875 Issued in MA
Practice address
217 South St
Holyoke, MA 01040-3611
Phone
(413) 315-4527
NPI assigned
Aug 1, 2013
Last updated
Apr 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02544200 NJ
General Practice Dentistry 1223G0001X DS039702 PA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 12160 CT
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN1857875 MA Primary

Addresses

Primary practice location

217 South St
Holyoke, MA 01040-3611

Mailing address

360 N Arroyo Grande Blvd Apt 113
Henderson, NV 89014-3965

Other practice location 1

2107 Cottman Ave
Philadelphia, PA 19149-1122
Phone (215) 235-4060

Other practice location 2

1888 Main St
Hartford, CT 06120-2357
Phone (860) 768-9062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210629002941 NJ Order and Referring Only - DentistPractitioner - Dentist 4082015953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS039702PAMDGeneral Practice Dentistry
12160CTMDOrthodontics and Dentofacial Orthopedic Dentist
DN1857875MAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1649602681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N ARROYO GRANDE BLVD APT 113",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890143965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SOUTH ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010403611",
            "telephone_number": "413-315-4527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2107 Cottman Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191491122",
            "country_code": "US",
            "telephone_number": "215-235-4060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1888 Main St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061202357",
            "country_code": "US",
            "telephone_number": "860-768-9062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIRAV",
        "middle_name": "BHARATBHAI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-01",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02544200",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS039702",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "12160",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DN1857875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.